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波兰接受关节置换术的老年骨关节炎患者的宗教信仰、宗教应对疾病方式及心理功能

Religiousness, religious coping with illness, and psychological function among Polish elderly patients with osteoarthritis undergoing arthroplasty.

作者信息

Stecz Patryk, Kocur Józef

机构信息

Psychosocial Rehabilitation Unit, Medical University of Lodz, Pl. Hallera 1, bud. VII, p. 106, 90-647, Lodz, Poland,

出版信息

J Relig Health. 2015 Apr;54(2):554-70. doi: 10.1007/s10943-014-9842-2.

Abstract

To determine the influence of religious coping and religiousness on the psychological functioning of Polish patients before and after arthroplasty, a prospective study was performed. Out of a pool of 102 potential participants, a total of 61 (34 females, 27 males) completed a purposely created survey, Brief-COPE followed by preoperative and postoperative Perceived Stress Scale, State Trait Anxiety Inventory and Satisfaction with Life Scale. Religious coping was not associated with: (1) perceived stress before or after surgery; (2) preoperative or postoperative anxiety; (3) life satisfaction. A two-factor ANOVA has shown that religious coping controlled by religiousness was related to better psychological functioning. Between- and within-subjects effects were observed for improvement in life satisfaction measured by split-plot ANOVA, which suggests (p < 0.05) that such improvement was greater among subjects of higher religious orientation. We concluded that religious strategies in dealing with stress measured by Brief-COPE were least likely to benefit patients of low-religious orientation. The study demonstrated the importance of core religious beliefs in predicting benefits derived from religiousness in the face of a crisis. This study showed that regardless of its effectiveness, turning to religion is common among Polish patients about to undergo surgery for osteoarthritis of the hip.

摘要

为了确定宗教应对方式和宗教信仰对波兰患者关节置换术前及术后心理功能的影响,开展了一项前瞻性研究。在102名潜在参与者中,共有61人(34名女性,27名男性)完成了一份专门设计的调查问卷,即简易应对方式问卷(Brief-COPE),随后填写术前及术后的感知压力量表、状态特质焦虑问卷和生活满意度量表。宗教应对方式与以下方面无关:(1)手术前后的感知压力;(2)术前或术后焦虑;(3)生活满意度。双因素方差分析表明,受宗教信仰控制的宗教应对方式与更好的心理功能相关。通过裂区方差分析测量生活满意度的改善情况时,观察到了组间和组内效应,这表明(p < 0.05)宗教取向较高的受试者中这种改善更大。我们得出结论,通过简易应对方式问卷测量的应对压力的宗教策略对宗教取向较低的患者最不可能有益。该研究证明了核心宗教信仰在预测面对危机时从宗教信仰中获得的益处方面的重要性。这项研究表明,无论其效果如何,求助于宗教在即将接受髋关节骨关节炎手术的波兰患者中很常见。

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